| NPI | 1992516363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIGAIL KEMPH Counselor 630-723-1006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2025-01-15 |
| Last Update Date | 2026-04-24 |